Transcript Highlights:

• And the Legislature puts in $70 million to administer a program.
• So the point being, I think when the Legislature says yes to $70 million, that...
• We urge the legislature to maintain the statewide mobile crisis benefit. Thank you.
• That being said, there are some issues that the legislature may wish to consider.
• By the legislature, and that was not the intent. So we'll definitely review that.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• and has passed away by the legislature and has passed away by the name<00:10:14.240><c> of</c><00:10
• And Tommy said, “You know, I’ve left the legislature.
• </c> I've left the legislature. I've left the legislature.
• U, a couple of through the legislature.
• So again, I just want to legislature.

Transcript Highlights:

• So we recommend the legislature consider one or two options.
• So we recommend the legislature consider one or two options.
• So I think the issue here for the Legislature...
• So I think the issue here for the Legislature fundamentally is all the Legislature has is trailer bill
• That's all the Legislature has.

Summary: The subcommittee opened with remarks on the Senate’s budget plan for affordable housing and homelessness, including a proposed $2 billion housing investment and full funding for HHAP rounds 7 and 8. The first major item was the administration’s housing reorganization and trailer bill package, which would codify the new Housing Development and Finance Committee (HDFC), consolidate multifamily housing finance programs into a one-stop application and award process, and shift some authority over bonds, tax credits, and the Affordable Housing and Sustainable Communities program. Administration officials said the goal was to reduce duplication, speed projects from award to construction, and improve accountability by aligning financing decisions. The LAO generally supported the streamlining concept but recommended changes to the proposed bond set-aside and earlier reallocation of unused bond authority, and suggested preserving flexibility for integrated applications and reporting back on the proposed 70/30 split for housing versus sustainable communities funding. Committee members, especially Senator Cabaldon, raised concerns that the new committee structure could add process and delay, and questioned whether the proposal was effectively repurposing the climate-oriented ASIC program into a housing finance tool without enough direct investment in core housing programs. Administration witnesses responded that the structure was meant to create transparency, public accountability, and simultaneous financing awards, and said the proposal was only a first step in a broader consolidation effort. Members also asked about specific programs such as the Joe Serna Farm Worker Housing Grant Program and the Sustainable Agricultural Lands Conservation Program, and staff said those would remain within the broader streamlined framework or the flexible sustainable communities allocation. The committee then heard from CDLAC and TCAC on federal tax credit changes and state housing finance. Staff explained that H.R. 1 increased the federal 9% LIHTC allocation and, more importantly, lowered the bond-financing threshold for 4% credits from 50% to 25%, allowing California to finance many more projects. They reported emergency regulations were adopted quickly to implement the change, resulting in 195 projects and more than 25,000 units in the 4% program, while the 9% program funded 58 projects and nearly 3,000 units. Members asked about the value of the state low-income housing tax credit program and rehabilitation projects; staff said state credits remain important for filling financing gaps and that a portion of bond and credit resources is now set aside for acquisition and rehabilitation. Finally, the Civil Rights Department reported on the effects of federal civil rights rollbacks and on three limited-term or expiring programs: California vs. Hate, the Community Conflict Resolution Unit, and Investigations and Conciliation Enhancement. Director Kevin Kish said federal closures and funding cuts have increased demand on the department, which now has more than 12,000 open matters, up from 8,700 a year earlier, and a six-month wait for intake interviews despite overtime triage and early case screening. Members urged continued funding for the programs, arguing they are essential as federal protections weaken; department staff said California vs. Hate connects callers quickly to support services, the conflict resolution unit fills a gap left by the shuttered federal counterpart, and the limited-term investigators have helped reduce wait times even as filings continue to rise.

Transcript Highlights:

• The legislature has also taken an important step through SB 640.
• That's something, as a legislature and working with Mr.
• And so I know the legislature is very animated about this.
• And so I know the legislature is very animated about this.
• That needs to be a focus of the Legislature moving forward.

Committee: Senate Joint Legislative Audit

Transcript Highlights:

• </c><00:23:19.679><c> the</c> would allow the legislature the would allow the legislature the opportunity
• </c><00:23:32.320><c> to</c> provision to allow the legislature to provision to allow the legislature
• </c> they the legislatures they the legislatures have<00:29:11.080><c> a</c><00:29:11.480><c> other</
• Suspension of any law meaning any law enacted by the legislature.
• I will have your adjourned. legislatures are doing around legislatures are doing around termination<00

Bills: SB2109 , SB2151

Committee: House Public Safety

Summary: The committee on Public Safety met on March 20, 2026, and the chair opened by noting severe rain and flooding conditions in Hawaii and said the committee would proceed with the hearing but defer decision-making until the next meeting on March 25. The first measure discussed was SB 2109, an omnibus bill on emergency preparedness communications. Testimony was overwhelmingly in support, including from state agencies and advocacy groups such as the Disability and Communications Access Board, Hawaii Emergency Management Agency, the Office of Hawaiian Affairs, the Legal Clinic, the Hawaii Coalition for Immigrant Rights, and others. Supporters emphasized the need for funding and planning for multilingual emergency materials and language access, citing current evacuation notices that were not available in languages such as Ilokano or Tongan. The chair stated that action on SB 2109 would be deferred until March 25. The committee then heard SB 2151, relating to emergency management and changes to the governor’s emergency authority. Testimony was mixed but heavily focused on concerns about executive power. Earthjustice supported the bill with amendments, saying it should narrow extraordinary emergency powers, add definitions for emergency and disaster, preserve transparency under the Uniform Information Practices Act, and lower the legislative threshold to terminate an emergency proclamation from two-thirds to a simple majority. Other supporters, including the League of Women Voters of Hawaii and some individuals, also backed reform. Opponents, including Hawaii Emergency Management Agency and numerous individuals, argued the bill still gave the governor too much power, used overly broad disaster definitions, and did not sufficiently protect constitutional rights; several urged major amendments or repeal of portions of Chapter 127A. Some opponents specifically objected to the two-thirds termination standard and to provisions they said could enable compulsory immunizations or other mandates. Members questioned Earthjustice about whether the bill would suspend constitutional rights. Earthjustice responded that the bill would not authorize constitutional violations, but would allow suspension of laws enacted by the legislature, and pointed to existing statutory procedures for individuals to challenge emergency proclamations. The witness described a Mauna Kea case in which a three-judge panel granted relief to an individual under the current statute, and explained that the process could potentially affect a broader proclamation if allowed to run to completion. The hearing continued with additional testimony and questions, but no final vote or committee action on SB 2151 was taken during this portion of the meeting.

Transcript Highlights:

• Simply put, you can be here at the legislature as an advocate for the state of Minnesota and advocate
• government, they are paying Representative Falconer and having him carry bills in the Minnesota legislature
• That's a pretty big problem legislature.
• </c><00:13:13.040><c> Um,</c> the Minnesota legislature at all?
• Um, the Minnesota legislature at all?

Transcript Highlights:

• We as a legislature must take measures to reduce the overall costs of the health care system, and ensuring
• It updates the processes and presents the plans to the Legislature, and that is the bill, Mr.
• In fact, I sat on the first IT committee, the first and only IT committee in the Florida Legislature
• This is the biggest change in state government I have seen in my 23 years in the legislature.
• The accountability ultimately sits with the legislature. I'm just wondering, practically.

Committee: Senate Appropriations

Summary: The Appropriations Committee met with a quorum present and considered three items. First, it heard and passed SB 158, which eliminates cost-sharing for diagnostic and supplemental breast examinations under the state employee health plan. Senator Berman described the bill as a way to remove financial barriers to early breast cancer detection, and several senators spoke in strong support, emphasizing the importance of follow-up screening and the life- and cost-saving value of early diagnosis. The bill was reported favorably by roll call vote. The committee then took up SPB 7024, a committee bill on state planning and budgeting. Senator Brodeur explained that the proposal modernizes and simplifies the state agency long-range planning process by focusing on key data points, removing stale measures, and improving how plans are presented to the Legislature. Senator Berman supported the bill, highlighting new provisions on implementation status and budget consequences if enacted laws are not carried out. The committee voted to submit the proposal as a committee bill and reported it favorably. Finally, the committee considered SPB 7026, a major overhaul of state information technology governance. Senator Harrell described a transition from the current Florida Digital Service structure to a new cabinet-level Agency for State Systems and Enterprise Technology (ASSET), with enterprise-wide standards, interoperability, procurement oversight, cybersecurity coordination, technical debt tracking, a testing laboratory, workforce development, and annual IT expenditure reporting. Members raised questions about procurement authority, judicial branch inclusion, existing contracts, cybersecurity, and staffing; Harrell said agencies would retain final procurement decisions but would have to follow enterprise standards, the courts were not included, existing contracts would continue, and the bill would add significant state IT staffing. Several amendments were adopted, including changes on CIO selection conflicts, removal of the Northwest Regional Data Center from a definition, reporting on deviations from standards, and technical updates related to the data center and workforce positions. Public testimony strongly supported the bill as a needed modernization of Florida’s fragmented IT system. The committee then reported SPB 7026 favorably as a committee bill. The meeting adjourned after members recorded their votes on the three items.

Transcript Highlights:

• :38.720><c> with</c><00:15:38.880><c> that</c> legislature, I believe, dealt with that legislature, I
• Uh the established by the legislature.
• This bill purports to constrain the legislature, and if you want to constrain the legislature, you cannot
• I know how much this legislature loves new dedicated funds.
• I know how much this legislature loves new dedicated funds.

Committee: House Finance

Transcript Highlights:

• As noted in previous hearings, both the administration and the legislature must address the broader issue
• This legislature, in early action, did $90 million.
• OCA was funded and created four years ago by the legislature in the budget, and I'm pleased to provide
• This legislature created that program a number of years ago.
• The legislature has many priorities, and it isn't always just a fiscal consideration.

Transcript Highlights:

• Also, the first Cape Verdean American to be elected to the Massachusetts Legislature, but also from..
• Cape Verdean American to be elected to the Massachusetts Legislature, but also from New Bedford, Don
• It is, but it wasn't stated in the legislation that the co-chairs had to come from the legislature.
• Yeah, I mean, it doesn't have to be from members of the legislature. It can be.
• I think it would probably be good to have co-chairs that are members of the Legislature, since that's

Summary: The meeting was the first organizational discussion of the newly created commission to study the feasibility of establishing a Massachusetts Cape Verdean Cultural Center in Boston. Senator Liz Miranda opened with background on the seven-year effort to create the commission, the seed funding included in the state budget, and the commission’s one-year mandate to produce a report on location, funding, and next steps. Members introduced themselves and described their Cape Verdean ties, with discussion emphasizing the historical importance of Cape Verdean communities in Boston, New Bedford, Falmouth/Cape Cod, Brockton, and other parts of the Commonwealth. A major topic was how to structure the commission’s leadership. Members discussed whether the co-chairs should be legislators, outside appointees, or a mix, and several noted the need to follow open meeting law and other public meeting requirements. Representative Cabral suggested Senator Miranda and Representative Diggs as co-chairs, with possible vice chairs drawn from other appointees. The group also discussed the need to keep the commission representative of the broader state, not just Boston, and to consider an advisory group of Cape Verdean association presidents and other community leaders outside the formal membership. The commission then reviewed a long list of potential additional members, focusing on people with experience in arts, culture, education, history, community building, philanthropy, construction, health, and related fields. Members were asked to review the list, suggest additions or gaps, and send feedback to staff. No final appointments were made at this meeting. The commission voted to reconvene in two weeks to organize itself, potentially elect co-chairs and vice chairs, and move forward with additional appointments; the motion passed, and the meeting was adjourned.

Transcript Highlights:

• We're grateful for the Legislature for holding the line on corporate fair share payments for Medi-Cal
• We have called for the Legislature to stand in breach, and you have answered that call.
• We have called for the Legislature to stand in breach, and you have answered that call.
• However, we urge the legislature to expand CFAP so families excluded by these cuts don't go hungry and
• We look forward to continuing conversations with the legislature, DHCS, and stakeholders on solutions

Summary: The Senate Budget Subcommittee No. 3 on Human Services held its final hearing on the budget, with the chair framing the Senate’s plan as a counterproposal that rejected major cuts and preserved revenues. Public comment was overwhelmingly supportive of the subcommittee’s actions, especially on Medi-Cal, IHSS, PACE, behavioral health, child care, CalFresh outreach, immigrant legal services, and long-term care. Testimony from disability, aging, county, health plan, provider, labor, and advocacy groups urged the committee to keep rejecting asset tests, immigrant coverage reductions, IHSS cost shifts, PACE rate cuts, and behavioral health reductions, while supporting mobile crisis, 988, Title IV-E workforce funding, and the “Be Home Soon California” proposal to expand home- and community-based care. Several speakers also pressed for additional or related funding and policy changes, including county alternatives for people losing Medi-Cal under federal HR1-related changes, more support for public hospitals and indigent care, CalFresh and Cal Food investments, child care slots and COLAs, dental rate cut delays, and expanded immigration legal and food assistance. Others thanked the committee for restoring or preserving funding for behavioral health innovation and advocacy grants, public health IT and disease investigation, diaper banks, hearing aids for children, and distressed hospital loans. The committee also heard concerns about fee-for-service shifts, outpatient dialysis coverage, and other implementation details, with some groups asking for trailer bill language or guardrails. After public comment, the subcommittee took three votes on large blocks of budget items. The first block of consent items passed 3-0, the second block passed 2-1, and the final block passed 2-0, with the chair announcing that the items were approved and out of committee. The hearing then adjourned.

Transcript Highlights:

• And for those of you who don't work in this space, starting back in the mid-80s or so, the legislature
• It wasn't easy for the legislature. I know it wasn't easy for the code reviser.
• And for those of you who don't work in this space, starting back in the mid-80s or so, the legislature
• It wasn't easy for the legislature. I know it wasn't easy for the code reviser.
• I get that you don't want to be making editorial decisions about what the legislature is intending.

Committee: Joint Statute Law Committee

Summary: The Statute Law Committee met on December 10, 2025, with members and staff introducing themselves and approving the June 10, 2025 minutes. The office reported on publications, noting that the 2025 RCW volumes and session laws are available, sales remain generally steady but modestly declining, and selected volumes have been ordered. The committee also heard a presentation from retired Judge Ann Levinson about how decodified or repealed laws are displayed online, using the civil protection order reforms in E2 SHB 1320 as an example. She argued that current disposition-table language can be confusing to the public and suggested clearer cross-references to the new chapter so readers can find the law more easily. Code Reviser staff responded that their office generally avoids editorializing and has limited tools in the current system, but they discussed possible solutions such as “later enactment” language, brief notes directing readers to the new chapter, and clickable links to session laws. Members generally supported making the code more reader-friendly while preserving neutrality, and staff said they would explore options further, including possible updates to the 7.105 RCW dispositions and improved hyperlinks. The committee then received financial and operational updates. Staff reported the office remains fully staffed, is managing its budget conservatively, and expects to revert some funds to the general fund while maintaining a healthy publications fund reserve. They also updated the committee on the move from the modular office back into the rebuilt Pritchard building, expected in late 2026, and on proposed office-hour changes from 8 p.m. to 7 p.m. on weekdays, with exceptions for active work, requests from clients, and floor action. The committee also recognized the upcoming retirement of longtime editor Barb Sage and Vice Chair Sam Thompson’s impending departure from the committee, with members expressing appreciation for their service.

Transcript Highlights:

• So the most significant piece of what changed is a number of strategies that the Legislature deployed
• These are those needs that are the hardest for the Legislature to change or modify.
• So a very significant adjustment, but based on how the Legislature has been looking at this.
• A lot of it carrying forward from what the Legislature has already approved.
• So that is a very big piece of the decision facing the Legislature as we go forward.

Summary: The Legislative Budget Commission met with a quorum present to hear the constitutionally required Long-Range Financial Outlook and consider a series of budget amendments. Amy Baker of the Office of Economic and Demographic Research presented the outlook, describing Florida’s continued population growth, strong wage growth, an aging population, housing-market softening, and low consumer sentiment. She said the general revenue forecast was largely unchanged from March, but the state’s funds available had improved because of legislative actions in 2025 that increased the balance forward. She also noted strong reserves, a projected current-year Medicaid deficit of about $125 million, and a three-year outlook that remains positive in the first year but turns negative in years two and three. She highlighted the risk of co-occurring catastrophic events, using a normalized Great Miami Hurricane scenario to illustrate potential state losses. The outlook was adopted after brief comments from House and Senate members emphasizing fiscal restraint and efficiency. The commission then approved multiple budget amendments, mostly without objection. The Agency for Health Care Administration received amendments to realign funding for Florida KidCare based on estimating conference results, to provide $85 million in budget authority for disproportionate share hospital payments, and to adjust Medicaid and long-term care appropriations, including placing surplus funds into reserve. The Department of Health received $6.3 million in additional authority for newborn screening. The Department of Corrections and the Department of Management Services each received $2.2 million in Private Inmate Welfare Trust Fund authority for repair invoices and pending projects. The Department of State was authorized to release $2.5 million in nonrecurring general revenue for cultural and museum grants and America 250 commemorative grants. The Department of Transportation received approval for a project roll-forward and for work program changes, including advancing I-95 widening in Duval County and the I-4 corridor in Polk and Osceola counties. The meeting ended with a motion to adjourn.

Transcript Highlights:

• The DOC is required to report annually to the legislature on EMPs.
• And finally, the bill clarifies... ...the legislature as required by your statute.
• We welcome the Legislature to invite itself to this level of accountability.
• It was not created by the Legislature.
• Courts, our Legislature, our processes to address those, not to go around our voters.

Bills: HB2387 , HB2490 , HB2508 , HB2539

Committee: House Community Safety

Keywords: elected sheriff, sheriff accountability, recall election, peace officer certification, certified peace officer, law enforcement authority, Washington RCW, criminal justice training commission, special election, public official recall, decertification, sheriff removal, voter accountability, county sheriff, police powers, extraordinary medical placement, compassionate release, medical parole, terminal illness, serious medical condition

Transcript Highlights:

• Unfortunately, the last year that that report was required by the state budget—meaning the Legislature
• Or any state department for providing the models that the legislature asks for.
• Again, I put the blame on the legislature, to understand that.
• And the way that we, the legislature, chooses to use something that we...
• lot of folks in the legislature that have opinions and thoughts about it.

Committee: Senate Rules

Transcript Highlights:

• on statewide behavioral health services as to you. health services, and to advise the legislature on
• In 2021, the work group put forward a recommendation to the legislature.
• The work group submitted their recommendations to the legislature this past November.
• The Washington Thriving Strategic Plan was submitted to the legislature in November.
• The Legislature should invest in expanding the dental care provider network.

Bills: HB2429 , HB2171 , HB2314 , HB2364 , HB2415

Committee: House Early Learning & Human Services

Keywords: behavioral health, youth support, mental health services, children's health, support services, foster youth, child welfare, education, mental health, dental care, habilitation centers, residential services, healthcare access, patient rights, poverty, task force, legislative, executive, social programs, fatalities

Transcript Highlights:

• But yes, I think I think that the LFO reforms that the legislature has made in the last several years
• There aren't a lot of local revenue options unless the Legislature would like to grant some additional
• The Legislature does not have money to allocate to a lot of new programs or increased spending on the
• As the legislature has tasked the Attorney General, for example, for decades now, with enforcement of
• As the legislature sort of tasked the Attorney General, for example, for decades now, with enforcement

Bills: HB2161 , HB2332 , HB2102

Committee: House Civil Rights & Judiciary

Keywords: attorney general, legal authority, state powers, judiciary, civil rights, driver privacy, data protection, personal information, surveillance, consumer rights, legal obligations, financial responsibility, debt management, consumer protection, court systems

Transcript Highlights:

• Our policy staff is new, but over 70% of members in the legislature are new to the legislature since
• They came together, and they advocated for federal funding and state funding, which this legislature
• Earlier in the program, the legislature also provided an exception to small forest landowners.
• The legislature has also recognized the broader public interest in maintaining working forests.
• The legislature has an essential oversight role in Forest and Fish.

Committee: House Agriculture & Natural Resources

Transcript Highlights:

• We've started making sure that we can explain that clearly to the legislature.
• And so many times we can do that with executive rules and not need the legislature.
• We got some direction from the legislature. They wanted some to go to certain schools.
• That's something this legislature has done, funded, and expanded, and...
• Now, I've been in the legislature. This is my starting my eighth year.

Transcript Highlights:

• So there's many strategies that the legislature has invested in over the years to really ensure that
• Third, we know the legislature has strived to be mindful of cost increases that put care out of reach
• So there are various roles of the legislature in each of these interventions, long-term noting that we
• I know the legislature have regularly used insurance commissioner, others.
• I know that is a major question for the Legislature.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.